versión On-line ISSN 0718-4026

Resumen

Background: Laparoscopic Nissen fundoplication is the most commonly used surgical technique for the treatment of gastroesophageal reflux. Method: This is a review of publications about long term results of the technique. Results: Thirteen papers reporting results at 10 years were identified. Heartburn recurrence was documented in 20 to 23% of patients. Symptoms such as bloating were reported by 47% of patients after the fundoplication. After 10 years, 25% of patients started to use proton pump inhibitors and a new surgical intervention was required by 9%. In eight reports, there was no objective assessment of surgical results. In one report only few cases had a radiological assessment. Only in three European reports and one report by us, endoscopy and esophageal manometry were performed. Conclusions: It is concluded that Nissen fun-doplication achieves a relief of gastroesophageal reflux at 10 years in 75% of patients. There is a paucity of reports carrying out objective assessments of surgical results.